Charleston Brace Company, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

010116126 Issued in SC

Legal business name

CHARLESTON BRACE COMPANY, LLC

Practice address

1220-B Hospital Drive
Mt Pleasant, SC 29464-3678

Phone

(843) 849-1930

Fax

(843) 849-1932

NPI assigned

Jun 18, 2015

Last updated

Aug 31, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

CHARLESTON BRACE COMPANY, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Nathaniel A Jackson, CO, BOCPO, CPED

Title

Co

Phone

(843) 871-0600

Specialties & licenses 1

Addresses

Part of

Charleston Brace Company LLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1265813968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 HOSPITAL DR # B",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643678",
            "telephone_number": "843-849-1930",
            "fax_number": "843-849-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220-B HOSPITAL DRIVE",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643678",
            "telephone_number": "843-849-1930",
            "fax_number": "843-849-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON BRACE COMPANY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLESTON BRACE COMPANY, LLC",
        "enumeration_date": "2015-06-18",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO",
        "authorized_official_telephone_number": "843-871-0600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO, BOCPO, CPED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": "010116126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaos Consulting, Inc.
• Peri Mary Chapar, RN
• Taylor Danielle Chard, DC
• Charleston Autism Academy
• Charleston Bone & Joint PA
• Charleston Cancer Center
• Charleston Chiropractic Center, LLC
• Charleston Clinical Counseling
• Charleston Cornea & Refractive Surgery, PA
• Charleston Counseling

• Prosthetic/Orthotic Supplier in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.